《论文模板》.docVIP

论文模板 医学文化的理念与医学教育的底线 李中奇 穆瑞琰 吕兆丰 基金项目：北京市哲学社会科学规划研究基地项目（特别委托项目）：“基于信任理论的首都国际化大都市医患关系研究”（13JDSHD001） 作者单位：100069 北京，首都医科大学学校办公室（李中奇、穆瑞琰），首都医科大学（吕兆丰） 通信作者：吕兆丰，Email：luzf@ccmu.edu.cn [摘要] 本文从分析当前医患关系紧张社会现象的文化本质切入，阐述了文化与文化主体、医学文化与医学模式的哲学关系、医学文化复合主体与医患关系等观点，分析了医学文化理念扭曲与医患关系紧张的相关性，描述了医学文化理念扭曲导致医学教育相关观念错位给医学教育造成的困境。在此基础上，明确提出要特别关注医学文化理念扭曲造成医学教育观念错位的问题，要清楚认识医学教育观念错位给医学教育带来的战略性的危害；同时呼吁，在当前医学人文环境非常不利的情况下，医学教育在医学生培养过程中必须坚守住5个精神底线。 [关键词] 医学文化；医学模式；医患关系；医学教育；精神底线 The concept of medical culture and the bottom line of medical education LI Zhong-qi﹡，MU Rui-yan，LU Zhao-feng. ﹡Office of Capital Medical University，Beijing 100069，China [Abstract] With the analysis of the current tense doctor-patient relationship from the perspective of culture, the paper is to elaborate the concept of culture and culture subject, the philosophical relationship between medical culture and medical education model, and the link between the comprehensive medical culture subjects and the doctor-patient relationship; to analyze the correlation between the distorted medical culture concepts and the tense doctor-patient relationship; and to describe the dilemma where medical education is put, in which the distortion of the medical culture ideology causes the dislocation of the medical education. Based on the analysis and elaboration, the paper states specifically that there needs to be focused on the distortion problem of medical education concepts as well its hazards on the development of medical education. The paper also put forward the idea that the five spirit baselines in medical education can’t be crossed, even in the contemporary unfavorable social circumstances. [Key words] Medical culture；edical model；octor-patient relationship；edical education；pirit baseline 当前,在医疗服务和问诊就医的过程中，医患关系“空前”紧张，这种现象无论是对“医”还是对“患”，都产生了非常不利的影响。所谓“空前”是指，纵观中华民族五千年文明历史，横比五大洲四大洋社会现状，均没有如此紧张的医患矛盾现象。从政府到社会各相关领域，对此都给予了相当的关注，也尽可能地采取了各项措施，在调解医患关系方面发挥了一定作用，但是收效并不理想。究其原因，各项改善医患关系的探索和努力，都发生在判断责任、改造环境和协调关系上，更多地是在寻找经济和法律手段解